MEDICARE: UROCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1615843	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1760503700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UROCARE LLC

Provider Business Mailing Address
First Line	:	880 W CENTRAL RD
Second Line	:	SUITE 5200
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2355
Country	:	US
Telephone Number	:	847-259-2410
Fax Number	:	847-259-8603

Provider Business Practice Location Address
First Line	:	880 W CENTRAL RD
Second Line	:	SUITE 5200
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2355
Country	:	US
Telephone Number	:	847-259-2410
Fax Number	:	847-259-8603

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	DR. JERROLD H SECKLER
Credential	:	M.D.
Telephone Number	:	847-259-2410

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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Directions to “UROCARE LLC ” Practice Location

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